Abstract

DETERMENT ON INSTITUTIONAL DELIVERY IN RURAL AREA OF NEPAL

Madhav Khanal* and Raju Khanal*

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Abstract

Study Evaluate the Determinants rate of institutional delivery services and socio-economic factors associated with institutional delivery in Nepal. Among the 102 women respondents shows 71.6% had delivered at health facility and remaining had delivered at home (22.5%) were below twenty years of age (55.9%) were from age group of 21-25 years. (77.5%) received no formal education (56.9%) had studied primary level (54.5%) had agriculture occupation. (49%) family's monthly income is less than 15,000 NRs. (71.6%) had their first pregnancy before the age 19 years. (43.1%) were primiparous (65.7%) had four ANC or more and three-fourths (75.5%) had visited Health Post for ANC. (64.7%) respondents had to travel 30 minutes or more to reach at the nearest health facility. Majority of the respondents were from the relatively disadvantage ethnicity groups Around three-fifths of the respondents (57.8%) mentioned that the decision-maker for delivery place were family member or FCHV. Method: Community-based cross-sectional study with married women who had given birth in last 12 months preceding purposively selected on Bangesal 1 Pyuthan with door-to-door face-to-face interview with interview-schedule. Factors of Maternal deaths in Nepal causes by access of health facilities center nearby residence, age, educational status, Number of ANC visit of mother and husbands' occupational, economic and educational status.

Keywords: Ethnicity, Delivery, pregnancy, postpartum, mortality, Community, maternal Health.